Individual
NANCY ELLEN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
52 S MAIN ST, ANGELS CAMP, CA 95222-9153
(209) 754-6262
Mailing address
179 GOLD CREEK DR, VALLEY SPRINGS, CA 95252-8435
(831) 809-1130
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
20629
CA
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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